ACO professional

ACO professional means an individual who is Medicare-enrolled and bills for items and services furnished to Medicare fee-for-service beneficiaries under a Medicare billing number assigned to the TIN of an ACO participant in accordance with applicable Medicare regulations and who is either of the following: (1) A physician legally authorized to practice medicine and surgery by the State in which he or she performs such function or action. (2) A practitioner who is one of the following: (i) A physician assistant (as defined at 410.74(a)(2) of this chapter). (ii) A nurse practitioner (as defined at 410.75(b) of this chapter). (iii) A clinical nurse specialist (as defined at 410.76(b) of this chapter).

Source

42 CFR § 425.20


Scoping language

As used in this part
Is this correct? or